The field of case management is rapidly evolving as hospital leaders look to case managers to help them meet a host of new regulatory requirements and financial goals. But too often this has put undue pressure on case managers and taken focus off their most important job—coordinating care.
Older adults are dying from falls in increasing numbers, according to a June 4 research letter published in JAMA. For reasons that aren’t yet clear, the number of adults age 75 and older who died from a fall rose from 8,613 in 2000 to 25,189 in 2016.
HIPAA training is required by the HIPAA rules, under § 164.530, Administrative requirements. But just because it’s required doesn’t mean it has to be repetitive, boring, or unappealing. There are ways to make your healthcare staff excited about HIPAA training. At the very least, you can do your part to make sure they’re engaged.
Even if a hospital is not a teaching hospital, it may have services that require National Clinical Trial (NCT) reporting. It is logical for revenue integrity leadership to own this issue, but an explanation of the requirements for NCT reporting should be shared with all staff within the revenue cycle so there is a better appreciation of the fact that clinical trial billing rules apply more broadly than merely just to research or clinical trial studies.
OCR in 2013, through the Health Information Technology for Economic and Clinical Health (HITECH) Ac,t issued a final rule identifying provisions of the HIPAA rules that apply directly to business associates (BA) and those provisions for which BAs are directly liable.
Case managers have long faced challenges related to caring for patients who are affected by social determinants of health. These factors have become even more of an issue since the implementation of healthcare reform, with the introduction of accountable care organizations and other innovative projects.
